Irigasi Kolon sebagai Pengganti Kolostomi pada Pembedahan Satu Tahap Penyakit Hirschsprung
DOI:
https://doi.org/10.21776/ub.jkb.2010.026.02.10Abstract
ABSTRAKPada pasien dengan penyakit Hirschprung dengan stasis fecal harus di-dekompresi dahulu sebelum dilakukan penanganan
definitive untuk menghindari enterokolitis. Ada dua macam modalitas dekompresi yaitu irigasi kolon dan kolostostomi
(stoma). Pembedahan definitive dapat dilakukan dalam satu tahap atau dua tahap dan tidak terdapat perbedaan hasil
luaran. Penelitian ini bertujuan membandingkan diameter kolon dan proporsi diameter kolon proksimal dan distal antara
irigasi kolon (satu tahap pembedahan) dan kolostomi (dua tahap pembedahan). Uji klinis dilakukan pada 18 pasien yang
dibagi secara acak dalam dua kelompok yaitu irigasi kolon (satu tahap pembedahan) dan kolostomi (dua tahap
pembedahan). Tidak terdapat perbedaan bermakna dalam diameter kolon antara irigasi kolon (satu tahap pembedahan)
dan kolostomi (dua tahap pembedahan). Pembedahan satu tahap atau dua tahap mempunyai luaran yang sama dalam hal
proporsi diameter kolon.
Kata Kunci: Irigasi kolon, kolostomi, prosedur Duhamel
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DAFTAR PUSTAKA
Kartono D. Penyakit Hirschsprung. Cetakan I. Jakarta:
Sagung Seto;2004;hal.1-81.
Ashcraft KW. Pediatric Surgery. Third edition. Philadelphia: W.B.Saunders Company; 2000: p. 453-468.
Minford JL, Rama A, Turrnock RR, et al. Comparison of Functional Outcomes of Duhamel and Transanal Endorectal Coloanal Anastomosis for Hirschsprung's Disease. Journal of Pediatric Surgery. 2004;39(2):161-165;discussion 161-165.
O'Neill J, Grosfeld J, and Fonkalsrud E. Principles of Pediatric Surgery. 2nd edition. Philadelphia: Elsivier;
; p. 631-649.
Neville H. Hirschprung Disease. (Online) 2003. http://www.emedicine.com/ped/topic 1010.htm
Honchar VV. The Prevention and Treatment of Enterocolitis in Children with Hirschsprung's Disease. Likars'ka Sparva. 2000; 2: 69-72.
Lee SL. Hirschprung Disease. (Online) 2003.http://www.emedicine.com/ped/topic 1016.htm8.Covau AG and Tetelbaum DH. Recent Advances in th Management of Hirschsprung´s Disease. Th American Journal of Surgery. 2000;180(5):382–387.
Shankar KR, Losty PD, Lamont GL, et al. Transana endorectal coloanal surgery for Hirschsprung's disease: experience in two centers. Journal of Pediatric Surgery. 2000; 35(8): 1209-1213.
Marty TL, Seo T, Sullivan JJ, Matlak ME, Black RE, an
Johnson DG. Rectal Irrigations for the Prevention o Postoperative Enterocolitis in Hirschsprung's Disease Journal of Pediatric Surgery. 1995; 30(5): 652-654.
Wester T and Rintala RJ. Early Outcome of Transana Endorectal Pull-through With a Short Muscle Cuff During the Neonatal Period. Journal of Pediatric Surgery. 2004; 39(2): 157-160; discussion 157-160.
Antao B, Radhwan T, Samuel M, and Kiely E. Short-pouch and Low-anastomosis Duhamel Procedure Enterocolitis in Children with Hirschsprung's Disease. Results in Better Fecal Control and Normal Defecation Pattern. Diseases of the Colon & Rectum. 2005; 48(91791-1796.
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